Enteral Nutrition

Partially hydrolysed guar gum (PHGG) is a water-soluble fibre supporting digestive health with well-established safety and efficacy. This open-label, single-arm, multicentre trial aimed to assess the tolerability and safety of a semi-elemental enteral formula containing PHGG at 12 g/L in tube-fed young children.  Published: April 20, 2023 DOI: https://doi.org/10.1016/j.clnesp.2023.04.004 For full text: Tolerability and Safety of a Semi-elemental Enteral Formula with Partially Hydrolyzed Guar Gum (PHGG) in Tube-fed Children Aged 1-4 Years: An Open-label, Single-arm Study - Clinical Nutrition ESPEN

This resource details a seven day trial of Compleat® paediatric. Child A had an unsafe swallow, and loose stools. The goals were to meet all nutritional requirements and encourage better stool consistency. Log in to read more about the outcome of the trial.

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Critical illness is often associated with catabolism. Consequently, providing nutritional support to those who cannot eat is essential to prevent malnutrition in the critical care setting.1 When considering nutrition support in the critical care unit (ICU), certain comorbidities should be taken into careful consideration when formulating an enteral feeding plan. For exa...

Many patients requiring long term enteral nutrition have neurological disorders, such as motor neurone disease (MND) or Huntington’s disease (HD). In our experience, a proportion of these individuals may struggle to tolerate enteral feeding despite optimising medical management and excluding obvious gastrointestinal pathology. In MND, prolonged reduced mobility, weaknes...

This case study discusses the nutritional management of a severely undernourished patient with head and neck cancer. The patient experienced diarrhoea and significant weight loss, despite the use of various enteral formulas and delivery methods (continuous and bolus feeding). Thereafter a combination of products within the Peptamen® range were trialled. A marked reduction i...

Major trauma refers to significant or multiple injuries that could result in death or severe disability, sustained from a traumatic insult such as a road traffic collision, fall, sporting accident, or physical assault. It is the leading cause of death and major disability in people aged under 45 years in the UK.1 Critically injured patients are often managed on ...

GEORGE IS A 63 YEAR OLD MARRIED MAN WHO WAS DIAGNOSED WITH MALIGNANT NEOPLASM OF THE OESOPHAGUS IN SEPTEMBER 2011. A two stage oesophago-gastrectomy was performed in February 2012 with a jejunal tube inserted for feeding. The patient reported that during his hospital stay he was given a polymeric feed via the jejunostomy. He suffered with severe diarrhoea for the length of his hospital stay. He was discharged home in April 2012, taking small meals and snacks without enteral nutrition. Over a 6 mo...

Introduction/overview Chronic pancreatitis is a progressive and irreversible inflammatory disease of the pancreas. This results in exocrine and endocrine dysfunction which in time leads to maldigestion and malabsorption reducing the body’s ability to utilise essential macro and micronutrients. Consequently protein energy malnutrition is common. Research indicates that in more than 80...

This case study discusses the nutritional management of a critically ill patient with a traumatic brain injury (TBI). Due to poor tolerance of gastric feeding, his nutritional requirements could not be met using a polymeric formula. His feed was changed to Peptamen® HN (a 100% whey peptide feed) and enteral absorption improved, allowing his full nutritional requirements to b...

Human immunodeficiency virus (HIV) is a virus that attacks the immune system specifically targeting CD4 cells, white blood cells which play a major role in protecting against infection. As the virus progresses and the CD4 count decreases there is an increased risk of certain infections referred to as ‘opportunistic infections’ (OIs). The gastrointestinal (GI) tr...